Does practice make perfect? Part I: The relation between hospital volume and outcomes for selected diagnostic categories.

abstract：BACKGROUND:For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE:To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH D...

journal_title：Medical care

authors： Kahn JM,Werner RM,David G,Ten Have TR,Benson NM,Asch DA

更新日期：2013-01-01 00:00:00

abstract：:This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in ...

journal_title：Medical care

authors： Willke RJ

更新日期：1991-10-01 00:00:00

abstract：BACKGROUND:Without advanced preparation of legal documents, state law determines who may serve as a surrogate decision maker for patients in hospitals. OBJECTIVES:To examine the relationship characteristics associated with traditional versus nontraditional health care surrogates who are making medical decisions for pa...

journal_title：Medical care

authors： Comer AR,Slaven JE,Montz A,Burke E,Inger L,Torke A

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Loving-kindness meditation (LKM) is a practice intended to enhance feelings of kindness and compassion for self and others. OBJECTIVES:To assess whether participation in a 12-week course of LKM for veterans with posttraumatic stress disorder (PTSD) is associated with improved positive emotions, decentering,...

journal_title：Medical care

authors： Kearney DJ,McManus C,Malte CA,Martinez ME,Felleman B,Simpson TL

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

journal_title：Medical care

authors： Huesch MD

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Reference drug pricing (RP) is a cost-sharing strategy commonly used to control drug expenditures. Under RP, a benefit plan fully reimburses medications that are equally or less expensive than the reference price, and requires patients to pay the extra cost of therapeutically equivalent but higher priced dru...

journal_title：Medical care

authors： Schneeweiss S,Dormuth C,Grootendorst P,Soumerai SB,Maclure M

更新日期：2004-07-01 00:00:00

abstract：:The association of underutilization of drugs prescribed for the treatment of hypertension and acute-care hospital readmissions was evaluated. The data base consisted of computerized hospitalization records and computerized out-patient pharmacy records, checked by chart audit for validity. The number of days' supply of...

journal_title：Medical care

authors： Maronde RF,Chan LS,Larsen FJ,Strandberg LR,Laventurier MF,Sullivan SR

更新日期：1989-12-01 00:00:00

abstract：BACKGROUND:Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES:To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN:Cross-sectional and longitudina...

journal_title：Medical care

authors： Boyd CM,Wolff JL,Giovannetti E,Reider L,Weiss C,Xue QL,Leff B,Boult C,Hughes T,Rand C

更新日期：2014-03-01 00:00:00

abstract：:Disparities by economic status are observed in the health status and health outcomes of Medicare beneficiaries. For health services and health policy researchers, one barrier to addressing these disparities is the ability to use Medicare data to ascertain information about an individual's income level or poverty, beca...

journal_title：Medical care

authors： Samson LW,Finegold K,Ahmed A,Jensen M,Filice CE,Joynt KE

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Except in cardiac surgery, measuring quality with procedure-specific mortality rates is unreliable because of small sample sizes at individual hospitals. Statistical power can be improved by combining mortality data from multiple operations. We sought to determine whether this approach would still be useful ...

journal_title：Medical care

authors： Dimick JB,Staiger DO,Birkmeyer JD

更新日期：2006-08-01 00:00:00

abstract：:It has been suggested that the efficiency of claim-based utilization review systems could be improved by focusing on providers with very high utilization rates. This strategy assumes that 1) high utilizers are more likely to be overutilizers, 2) labeling claims (e.g., "high utilizer") do not bias the review, and 3) th...

journal_title：Medical care

authors： Bailit HL,Balzer JA,Clive J

更新日期：1983-05-01 00:00:00

abstract：BACKGROUND:In Ontario, Canada, the 70/90 regulations were instituted in May 1993 to establish provincial government procurement prices for generic drugs. Accordingly, the first generic entrant's price could not exceed 70% of the incumbent's branded price. Subsequent entrants' prices could not exceed 90% of the first en...

journal_title：Medical care

authors： Anis AH,Guh DP,Woolcott J

更新日期：2003-01-01 00:00:00

abstract：OBJECTIVES:The authors evaluate a measure of the validity of utility elicitations and study the potential effects of invalid elicitations on population utility values. METHODS:The authors used a computerized survey to describe and measure preferences for three common side-effects of anti-psychotic drugs (tardive dyski...

journal_title：Medical care

authors： Lenert LA,Morss S,Goldstein MK,Bergen MR,Faustman WO,Garber AM

更新日期：1997-09-01 00:00:00

abstract：BACKGROUND:Primary care teams face daily time pressures both during patient encounters and outside of appointments. OBJECTIVES:We theorize 2 types of time pressure, and test hypotheses about organizational determinants and patient consequences of time pressure. RESEARCH DESIGN:Cross-sectional, observational analysis ...

journal_title：Medical care

authors： McDonald KM,Rodriguez HP,Shortell SM

更新日期：2018-10-01 00:00:00

abstract：:Because of the rapid changes that have occurred in the dental profession, the Dentist Satisfaction Survey (DSS) was developed to assess both facet and overall job satisfaction among dentists. The DSS was administered to a sample of 558 California general dentists. The results suggest that the DSS is a practical, relia...

journal_title：Medical care

authors： Shugars DA,Hays RD,DiMatteo MR,Cretin S

更新日期：1991-08-01 00:00:00

abstract：BACKGROUND:Prescription of new drugs contributes to substantial increases in annual drug expenditures. A small proportion of physicians appear to be early users of new prescription drugs and little is known about their characteristics. OBJECTIVE:To estimate the initial utilization rate of new prescription drugs among ...

journal_title：Medical care

authors： Tamblyn R,McLeod P,Hanley JA,Girard N,Hurley J

更新日期：2003-08-01 00:00:00

abstract：:This article summarizes tests of the appropriateness of aggregating specific categories of physical capacities and limitations into aggregate functional status indexes. Self-administered questionnaires were used to gather data from 4,603 people between 14 and 66 years of age. Cumulative indexes defining ranked levels ...

journal_title：Medical care

authors： Stewart AL,Ware JE Jr,Brook RH

更新日期：1981-05-01 00:00:00

abstract：BACKGROUND:The need for evidence about the effectiveness of therapeutics and other medical practices has triggered new interest in methods for comparative effectiveness research. OBJECTIVE:Describe an approach to comparative effectiveness research involving cluster randomized trials in networks of hospitals, health pl...

journal_title：Medical care

authors： Platt R,Takvorian SU,Septimus E,Hickok J,Moody J,Perlin J,Jernigan JA,Kleinman K,Huang SS

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVE:To compare primary care and traditional Internal Medicine residents in their adherence to preventive medicine guidelines, performance in the management of chronic diseases, and utilization of resources. DESIGN:Prospective cohort study. SETTING:Urban Internal Medicine residency program. PARTICIPANTS:Sixteen...

journal_title：Medical care

authors： Wong MD,Hollenberg JP,Charlson ME

更新日期：1999-08-01 00:00:00

abstract：OBJECTIVE:Analysts performing cost-effectiveness analyses often do not have the resources to gather original quality-of-life (QOL) weights. Furthermore, variability in QOL for the same health state hampers the comparability of cost-effectiveness analyses. For these reasons, opinion leaders such as the Panel on Cost-Eff...

journal_title：Medical care

authors： Tengs TO,Wallace A

更新日期：2000-06-01 00:00:00

abstract：:This article reports on a study of the labor efficiency of 461 nursing homes located in Pennsylvania. Data envelopment analysis was used to estimate efficiency scores. Tobit equations were estimated for the entire sample and for subsamples consisting of for-profit (FP) and not-for-profit (NFP) nursing homes. The autho...

journal_title：Medical care

authors： Rosko MD,Chilingerian JA,Zinn JS,Aaronson WE

更新日期：1995-10-01 00:00:00

abstract：BACKGROUND:Among older women with early-stage breast cancer, patients with a short life expectancy (LE) are much less likely to benefit from adjuvant radiation therapy (RT). Little is known about the impact of physicians and regional factors on the use of RT across LE groups. OBJECTIVE:To determine the relative contri...

journal_title：Medical care

authors： Feinstein AJ,Soulos PR,Long JB,Herrin J,Roberts KB,Yu JB,Gross CP

更新日期：2013-04-01 00:00:00

abstract：:The purpose of this study was to develop a "time-insensitive" predictive instrument (TIPI) for acute hospital mortality due to congestive heart failure. In Phase 1, based on prospectively collected data on 401 congestive heart failure patients among 5,773 study patients who presented to six New England hospitals over ...

journal_title：Medical care

authors： Selker HP,Griffith JL,D'Agostino RB

更新日期：1994-10-01 00:00:00

abstract：:The burn problem in the United States, as reflected in published data, is serious. More than 2,000,000 people are injured in burn accidents each year; 70,000 are hospitalized, involving approximately 9,000,000 disability days; and an estimated 9,000 die from their injuries. In 1964, the National Burn Information Excha...

journal_title：Medical care

authors： Praiss IL,Feller I,James MH

更新日期：1980-02-01 00:00:00

abstract：BACKGROUND:Decades-long efforts to require parity between behavioral and physical health insurance coverage culminated in the comprehensive federal Mental Health Parity and Addiction Equity Act. OBJECTIVES:To determine the association between federal parity and changes in mental health care utilization and spending, p...

journal_title：Medical care

authors： Haffajee RL,Mello MM,Zhang F,Busch AB,Zaslavsky AM,Wharam JF

更新日期：2019-04-01 00:00:00

abstract：:A common objective of health services is to provide high quality care at the least cost, yet some services achieve these objectives better than others. Moreover, there are questions about relationships between cost and quality: do higher expenditures usually result in higher quality, or, conversely, is it possible to ...

journal_title：Medical care

authors： Schulz RI,Greenley JR,Peterson RW

更新日期：1983-09-01 00:00:00

abstract：BACKGROUND:Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE:To introduce and demonstrate two methods that can be us...

journal_title：Medical care

authors： Giesler RB,Ashton CM,Brody B,Byrne MM,Cook K,Geraci JM,Hanita M,Souchek J,Wray NP

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:Minority breast cancer patients tend to have higher rates of adjuvant treatment underuse. We implemented a web-based intervention that closes referral loops between surgeons and oncologists at inner-city safety-net hospitals serving high volumes of minority breast cancer patients to assist these hospitals an...

journal_title：Medical care

authors： McAlearney AS,Murray K,Sieck C,Lin JJ,Bellacera B,Bickell NA

更新日期：2016-02-01 00:00:00

abstract：OBJECTIVE:To test whether an intervention to improve primary care depression management significantly improves productivity at work and absenteeism over 2 years. SETTING AND SUBJECTS:Twelve community primary care practices recruiting depressed primary care patients identified in a previsit screening. RESEARCH DESIGN:...

journal_title：Medical care

authors： Rost K,Smith JL,Dickinson M

更新日期：2004-12-01 00:00:00

abstract：OBJECTIVES:The economic impact of trauma in older persons is a matter of increasing concern to public health practitioners and planners, yet it is an issue that has not been widely studied. Available evidence does suggest, however, that falls are the costliest category of injury among older persons. METHODS:This study...

journal_title：Medical care

authors： Rizzo JA,Friedkin R,Williams CS,Nabors J,Acampora D,Tinetti ME

更新日期：1998-08-01 00:00:00